Active NPI
John Vinson Villaluz, PT, DPT
- Physical Therapist
- Irvington, NY
National Provider Identifier
1306493523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 044671
- Practice address
- 1 Bridge St Ste 71
Irvington, NY 10533-1560 - Phone
- (914) 478-0608
- NPI assigned
- Aug 22, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 044671 | NY | Primary |
Addresses
Primary practice location
1 Bridge St Ste 71
Irvington, NY 10533-1560
Mailing address
1 Gilbert St
Shelton, CT 06484-3909
Phone (203) 243-1563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Columbia University College of Physicians and Surgeons, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
248 W 60TH St
New York, NY 10023-7403
Phone (917) 382-1225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044671 | NY | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascenza LLC | Physical Therapist | Current | Accepting new patients |
| Holt Chiropractic Offices, P.C. | Past | Accepting new patients |
Locations
248 W 60th St
New York, NY 10023
Phone (203) 243-1563
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Ascenza Physical Therapy and Wellness
- Physical Therapy Clinic/Center
- New York, NY
- NPI 1023724242
Physical Therapist
-
- Orthopedic Chiropractor
- Yonkers, NY
- NPI 1881895746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1306493523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GILBERT ST",
"city": "SHELTON",
"state": "CT",
"postal_code": "064843909",
"telephone_number": "203-243-1563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BRIDGE ST STE 71",
"city": "IRVINGTON",
"state": "NY",
"postal_code": "105331560",
"telephone_number": "914-478-0608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALUZ",
"first_name": "JOHN VINSON",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "044671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.